Mark Klimek (Yellow Book)

1.

Rule of the ': If the ____ and the _____ are ______ in the ame direction then

it i meta_____

pH, icarƒ, oth, olic

2.

pH 7.30_______ HCO3 20_______

↓= acidoi; ↓= metaƒolic

3.

pH 7.58_______ HCO3 32_______

↑= alkaloi; ↑= metaƒolic

4.

pH 7.22_______ HCO3 30_______

↓= acidoi; ↑= repiratorš

5.

You are providing care to a client with the following ƒlood ga reult: pH

7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. aed on thee reult, the

client i experiencing:

↓= acidoi; ↑= repiratorš

6.

MacKumaul

The onlš acid ƒae to caue Kumaul repiration i Metaƒolic

ACidoi

Mark Klimek­ Yellow Book

Return to deck

1.

Rule of the ': If the ____ and the _____ are ______ in the ame direction then

it i meta_____

pH, icarƒ, oth, olic

2.

pH 7.30_______ HCO3 20_______

↓= acidoi; ↓= metaƒolic

3.

pH 7.58_______ HCO3 32_______

↑= alkaloi; ↑= metaƒolic

4.

pH 7.22_______ HCO3 30_______

↓= acidoi; ↑= repiratorš

5.

You are providing care to a client with the following ƒlood ga reult: pH

7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. aed on thee reult, the

client i experiencing:

↓= acidoi; ↑= repiratorš

6.

MacKumaul

The onlš acid ƒae to caue Kumaul repiration i Metaƒolic

ACidoi

Mark Klimek­ Yellow Book

i-III Return to deck

7.

A the _______ goe, o goe _______ except for _______

pH, mš patient, Potaium

8.

Up

hšokalemia, alkaloi, HTN, Tachšcardia, Tachšpnea, Seizure,

Irritaƒilitš, Spatic, Diarrhea, orƒoršgme, hšperreflexia, etc

9.

Down

hšperkalemia, acidoi, htn, ƒradšcardia, contipation, aƒent ƒowel

ound, flacid, ƒradšpnea

10.

Caue of acid­ƒae imƒalance: Firt ak šourelf, "I it _______?" If še, then

it' _______. Then ak šourelf: "Are theš _______ or _______. If _______, pick

_______. If _______, pick _______

lung, repiratorš, overventilating, underventilating, overventilating,

alkaloi, underventilating, acidoi

11.

Caue of acid­ƒae imƒalance: If it' not lung, then it' _______. If the patient

ha _______ _______ vomiting or uction, pick _______. For everšthing ele

that in't lung, pick _______ _______. When šou don't know what to pick,

chooe _______

metaƒolic, prolonged gatric, alkaloi, metaƒolic acidoi, metaƒolic

acidoi

12.

High preure alarm are triggered ƒš _______ reitance to air flow.

increaed

13.

High preure alarm are triggered ƒš increaed reitance to airflow and can

ƒe caued ƒš oƒtruction of three tšpe: _______ action, _______ action,

_______ action

(kinked tuƒe) unkink, (water in tuƒe) emptš, (mucu in airwaš) cough

and deep ƒreathe

14.

Low preure alarm are triggered ƒš _______ reitance to airflow.

decreaed

15.

Low preure alarm are triggered ƒš decreaed reitance to airflow and can

ƒe caued ƒš diconnection of the _______ or _______

tuƒing (reconnect it), oxšgen enor tuƒe (reconnect it UNLSS tuƒe i

on the floor­ ƒag them and call RT if thi happen)

16.

Repiratorš alkaloi mean ventilator etting maš ƒe too _______

high

17.

Repiratorš acidoi mean ventilator etting maš ƒe too _______

low

18.

What doe "wean" mean?

graduallš decreae with the goal of getting off altogether

19.

What i Malow' highet prioritš to lowet prioritš?

1. Phšiological

2. Safetš

3. Comfort

4. Pšchological (proƒlem within the peron)

5. Social (proƒlem with other people)

6. Spiritual

20.

Arrange from highet to lowet prioritš uing Malow':

Denial

Spiritual Ditre

Pain in lƒow

Fall Rik

Pathological Familš Dšnamic

lectrolšte Imƒalance

lectrolšte Imƒalance (Phšiological)

Fall Rik (Safetš)

Pain in lƒow (Comfort)

Denial (Pšchological)

Pathological Familš Dšnamic (Social)

Spiritual Ditre (Spiritual)

21.

What are the 5 tage of grief?

Denial

Anger

argain

Depreion

Acceptance

22.

The #1 proƒlem in aƒue i _______

denial

23.

Denial i the _______ to accept the _______ of their proƒlem

refual, realitš

24.

Treating denial: _______ it ƒš pointing out to the peron the difference

ƒetween what theš _______ and what theš _______. In contrat, _______ the

denial of lo and grief

confront, aš, do, upport

25.

Dependencš: When the _______ get the Significant Other to do thing for

them or make deciion for them

aƒuer

26.

Codependencš: When the _______ _______ derive poitive _______ from doing

thing for or making deciion for the _______

Significant Other, elf­eteem, aƒuer

27.

When treating dependencš/codependencš: Set _______ and _______ them.

Agree in advance on what requet are allowed, then enforce the agreement

limit, enforce

28.

When treating dependencš/codependencš: Work on the _______ of the

codependent peron

elf­eteem

29.

Manipulation: when the _______ get the _______ _______ to do thing for

him/her that are not in the _______ _______ of the _______ _______. The nature

of the act i _______ or _______ to the _______ _______

aƒuer, ignificant other, interet, ignificant other, harmful, dangerou,

ignificant other

30.

Treating manipulation: et _______ and _______

limit, enforce

31.

Wernicke' (Korakoff') Sšndrome: _______ induced ƒš Vitamin

_______(thiamine) deficiencš

Pšchoi, 1

32.

Primarš šmptom of Wernicke' (Korakoff') Sšndrome: _______ with

_______

amneia (memorš lo), confaƒulation (make up tuff)

33.

Characteritic of Wernicke' (Korakoff') Sšndrome:

1. _______

2. _______

3. _______

preventaƒle (take vitamin)

arretaƒle (take vitamin)

irreveriƒle (kill ƒrain cell)

34.

Antaƒue/Revia i aka _______ Therapš

Averion

35.

Onet and duration of effectivene of Antaƒue/Revia: _______

2 week

36.

Patient teaching with Antaƒue/Revia: Avoid _______ form of _______ to

avoid _______, _______, _______

all, alcohol, nauea, vomiting, death

37.

What are example of product that contain alcohol?

mouth wah, cologne, perfume, afterhave, elixir, mot OTC liquid

medicine, inect repellant, vanilla extract, vinagerette, hand anitizer

38.

verš alcoholic goe through _______. Onlš a minoritš get _______

Alcohol Withdrawal Sšndrome, Delirium Tremen

39.

_______ i not life­threatening. _______ can kill šou

Alcohol Withdrawal Sšndrome, Delirium Tremen

40.

Patient with _______ are not a danger to themelve or other. Patient with

________ are dangerou to elf and other

Alcohol Withdrawal Sšndrome, Delirium Tremen

41.

AWS or DT: emiprivate room, anš location

AWS

42.

AWS or DT: private room near the nure' tation

DT

43.

AWS or DT: Regular diet

AWS

44.

AWS or DT: Clear liquid or NPO diet (rik for apiration)

DT

45.

AWS or DT: Up at liƒertš

AWS

46.

AWS or DT: Retricted to ƒedret with no ƒathroom privilege

DT

47.

AWS or DT: No retraint

AWS

48.

AWS or DT: Uuallš retrained with either vet or 2 point (1 arm and 1 leg)

DT

49.

AWS or DT: Give anti­HTN medication

oth

50.

AWS or DT: Give tranquilizer

oth

51.

AWS or DT: Give multivitamin to prevent Wernicke'

oth

52.

For Aminoglšcoide, think " __ ____ ___ _____"

a mean old mšcin

53.

When are antiƒiotic/aminoglšcoide ued?

to treat eriou, life­threatening, reitant infection

54.

All aminoglšcoide end in _______, ƒut not all drug that end in _______ are

aminoglšcoide.

mšcin, mšcin

55.

What are ome example of wannaƒe mšcin?

Azithromšcin, Clarithromšcin, ršthromšcin

56.

What are ome example of aminoglšcoide?

Streptomšcin, Cleomšcin, Toƒramšcin, Toƒramšcin, Gentamšcin,

Vancomšcin, Clindamšcin

57.

When rememƒering toxic effect of mšcin' think _______

mice= ear

58.

What i the toxic effect of aminoglšcoide and what mut šou monitor?

ototoxicitš; monitor hearing, ƒalance, and tinitu

59.

The human ear i haped like a _______ o another toxic effect of

aminoglšcoide i _______ o monitor _______

kidneš, nephrotoxicitš, creatinine

60.

The numƒer "___" drawn inide the ear remind šou of cranial nerve ___ and

frequencš of adminitration ___

8, 8, Q8H

61.

Do not give aminoglšcoide PO expect in thee 2 cae:

1. _______ _______ (due to high _______ level)

2. Pre­op _______ urgerš

hepatic encephalopathš (liver coma, ammonia­induce

encephalopathš), ammonia, ƒowel

62.

Who can terilize mš ƒowel?

Neo­ Kan

63.

What i the reaon for drawing Trough and Peak level?

Narrow therapeutic level

64.

When do šou ALWAYS draw the Trough?

30 minute ƒefore next doe

65.

When do šou draw the Peak level of Suƒlingual medication?

5­10 minute after drug diolve

66.

When do šou draw the Peak level of IV medication?

15­30 minute after medication i finihed

67.

When do šou draw the Peak level of IM medication?

30­60 minute after injecting it

68.

When do šou draw the Peak level of SQ medication?

Depend on tšpe of inulin

69.

When do šou draw the Peak level of PO medication?

Not necearš

70.

What are iological Agent in Categorš A?

STAPH 

Small Pox

Tularemia

Anthrax

Plague

Hemorrhagic illne

otulim

71.

What are iological Agent in Categorš ?

All other

72.

What are iological Agent in Categorš C?

Nipeh Viru

Hanta Viru

73.

When it come to iological Agent: Categorš __ i _______, Then Categorš __,

Then Categorš __

A, the wort, , C

74.

Small Pox

Inhaled tranmiion/ on airƒorne precaution

die from epticemia­ no treatment

rah tart around mouth firt

Categorš A

75.

Tularemia

chet šmptom

die from repiratorš failure

treat with treptomšcin

Categorš A

76.

Anthrax

pread ƒš inhalation

look like the flu

die from repiratorš failure

treat with upro, PCN, and treptomšcin

Categorš A

77.

Plague

pread ƒš inhalation

ha the 3 H': Hemoptši (coughing up ƒlood), Hematemei (vomiting

up ƒlood), Hematochezia (ƒlood in tool)

dei from repiratorš failure and DIC (ƒleed to death)

treat with Doxšcšcline and Mšcin

no longer communicaƒle after 48 hour of treatment

Categorš A

78.

Hemorrhagic illnee

primarš šmptom are petechiae (pinpoint pot) and ecchšmoe

(ƒruiing)

high ?tal

Categorš A

79.

otulim

it i ingeted

ha 3 major šmptom: decending paralši, fever, ƒut i alert

die from repiratorš arret

Categorš A

80.

What are ome example of chemical agent that caue ƒioterrorim?

Mutard ga

Cšanide

Phogine chlorine

Sarin

81.

What i the primarš šmptom of Mutard Ga?

liter (veicant)

82.

What i the primarš šmptom of Cšanide and how do šou treat it?

Repiratorš arret. Treat with Sodium Thioulfate IV

83.

What i the primarš šmptom of Phogine Chlorine?

Choking

84.

What are the šmptom of Sarin (hint it' a nerve agent)?

 SLUDG­ jut rememƒer everš ecretion in šour ƒodš i ƒeing

excreted exceivelš

ronchopam

ronchorrhea

Salivating

Lacrimating (tear)

Urination

Diaphorei/ Diarrhea

G.I upet

mei

85.

What do šou ue when cleaning patient expoed to chemical agent?

All chemical agent require onlš oap and water cleaning except

Sarin, which require ƒleach.

86.

Which agent do šou iolate the patient for?

iological Agent

87.

Which agent do šou decontaminate for?

Chemical Agent

88.

How doe decontamination work?

Gather expoed people

Take to decontamination center where people remove clothing, hower,

dre in non­contaminated clothe, then releae to other ervice

Put contaminated clothing in pecial ƒag and throw awaš (ƒe ure not

to touch it)

89.

Calcium Channel locker: theš are like ________ for šour heart. What doe

that mean?

Valium. It relaxe the heart

90.

Calcium Channel locker: _______ inotropoic, chronotropic, dromotropic

Negative

91.

Inotropic

trength of heart

92.

Poitive Inotropic

trong heartƒeat

93.

Negative Inotropic

weak heartƒeat

94.

Chronotropic

rate of heartƒeat

95.

Poitive Chronotropic

fat heartƒeat

96.

Negative Chronotropic

low heartƒeat

97.

Dromotropic

conductivitš of heart

98.

Poitive Dromotropic

excitaƒle heart

99.

Negative Dromotropic

ƒlock/low conduction

100.

Poitive Inotropic, Chronotropic, and Dromotropic i een with which

medication?

atropine, epinephrine, and norepinephrine

101.

Negative Inotropic, Chronotropic, and Dromotropic i een with which

medication?

Calcium Channel locker and eta locker

102.

What do Calcium Channel locker treat? (indication)

Antihšpertenive (decreae P)

Anti Angina (imƒalance ƒetween O2 upplš and demand)

Anti Atrial Arrhšthmic (Atrial flutter and Atrial fiƒrillation)

103.

What are ome of the ide effect of Calcium Channel locker?

Headache

Hšpotenion

104.

Name of Calcium Channel locker can ƒe rememƒered ƒš ašing....

I op zem dipine in the Calcium Channel ("zem", "dipine",

"verapamil/ioptin")

105.

"QRS depolarization" alwaš refer to __________

Ventricular (not atrial, junctional or nodal).

106.

"P wave" refer to _________

Atrial

107.

Aštole

a lack of QRS depolarization (flat line)

108.

Atrial Flutter

rapid P­wave depolarization in a aw­tooth pattern (flutter)

109.

Atrial Fiƒrillation

chaotic P­wave depolarization

110.

Ventricular Tachšcardia

wide ƒizarre QRS'

111.

Premature Ventricular Contraction (PVC)

Periodic wide, ƒizarre QRS'

112.

e concerned aƒout PVC' if:

More than 6 per minute

6 in a row

PVC fall on T­wave of previou ƒeat

113.

What are the lethal arrhšthmia?

aštole and ventricular fiƒrillation

114.

What i the potentiallš life­threatening arrhšthmia?

1. v­tach, 2. a­fiƒ, 3. a­flutter

115.

When dealing with an IV puh drug if šou don't know go ____ except

________!

low, adenocard

116.

What i the treatment for PVC'?

lidocaine and amiodarone

117.

What i the treatment for V Tach?

lidocaine and amiodarone

118.

What are the treatment for upraventricular arrhšthmia?

ACD

Adenocard/adenoine

etaƒlocker (end in lol)

Calcium Channel locker

Digitali/Digoxin (lanoxin)

119.

What i the treatment for V­fiƒ?

šou defiƒ

120.

What i the treatment for Aštol?

Give pi firt then Atropine

121.

aštole

122.

atrial fiƒrillation

123.

atrial flutter

124.

Normal Sinu Rhšthm

125.

Supraventricular tachšcardia

126.

ventricular fiƒrillation

127.

The purpoe for chet tuƒe i to re­etaƒlih _______ preure in the pleural

pace

negative

128.

In the pneumothorax, the chet tuƒe remove ___

air

129.

In the hemothorax, the chet tuƒe remove _____

ƒlood

130.

In the pneumohemothorax, the chet tuƒe remove ___ and _____

air and ƒlood

131.

when the chet tuƒe i ______ (____) for ___. aka ____

Apical (high), air, apex

132.

When the chet tuƒe i ______ (___) for _____ aka ____

ailar (low), ƒlood, ƒae (ƒottom of lung) 

133.

How manš chet tuƒe and where for unilateral pneumohemothorax? 

2; apical and ƒailar on ide of pneumo

134.

How manš chet tuƒe and where for ƒilateral pneumothorax?

2; apical for ƒoth

135.

How manš chet tuƒe and where for pot­op chet urgerš/chet trauma?

aume unilateral pneumohemothorax­ 2; apical and ƒailar on ide of

pneumo

136.

In routine _____ clamp chet tuƒe. In emergencš _____ the chet tuƒe

NVR; CLAMP

137.

What do šou do if šou kick over the collection ƒottle?

Set it ƒack up (not an emergencš)

138.

What do šou do if the water eal ƒreak?

Firt­ clamp it, cut tuƒe awaš from device

et­ uƒmerge the tuƒe under water, then unclamp

139.

What do šou do if the chet tuƒe come out?

Firt­ cover with a gloved hand

et­ cover the hole with vaeline gauze, put a drš terile dreing on

top, tape on 3 ide

140.

If there' ƒuƒƒling in the water eal intermittentlš it i...

good

141.

If there' ƒuƒƒling in the water eal and it' continuou it i...

ƒad

142.

If there' ƒuƒƒling in the uction control chamƒer intermittentlš it i...

ƒad

143.

If there' ƒuƒƒling in the uction control chamƒer continuoulš it i...

good

144.

Rule for clamping the tuƒe:

never clamp longer than __________ without Dr' order

ue _____________________________

15 econd, ruƒƒer tipped douƒle clamp

145.

verš congenital heart defect i either ___________ or ____ ___________

TRouLe, No TRouLe

146.

R­L

Right to Left hunt

147.

lue

148.

T

tart with the letter "T"

149.

What are ome example of "TRouLe" congenital heart defect?

Trunku arterioi, Tran. poition of great veel, Tetrologš of Fallot,

Tricupid tenoi, TAPZ, Left ventricular hšperplamic šndrome

150.

What are ome example of "No TRouLe" congenital heart defect?

Patent fore. ov., ventricular eptal defect, pulmonarš tenoi

151.

Akk CHD kid will have 2 thing, whether TRouLe or No TRouLe...

1. Murmur

2. chocardiogram

152.

Four defect preent in Tetralogš of Fallot are...

VarieD

PictureS

Of A

RancH

Ventricular Defect

Pulmonarš Stenoi

Overriding Aorta

Right Hšpertrophš

153.

How do šou meaure crutche for a peron?

2­3 fingerwidth ƒelow anterior axillarš fold to a point lateral and

lightlš in front of foot

154.

When the handgrip i properlš placed, the angle of elƒow flexion will ƒe ____

degree

30

155.

2 point gait

tep one­­ move one crutch and oppoite foot together

tep two­­ move other crutch and other foot together

(rememƒer 2 point together for a 2 point gait)

Ued for minor weakne on ƒoth leg

156.

3 point gait

tep one­­ move two crutche and ƒad leg together

tep two­­ move good foot

(Rememƒer 3 point i called 3 point ƒecaue 3 point touch down at

once)

157.

4 point gait

tep one­­ one crutch

tep two­­ oppoite foot

tep three­­ other crutch

tep four­­ other foot

nothing move together and everšthing i reallš weak

158.

Swing through

for two ƒraced extremitie

(Amputee)

159.

Ue the _____ numƒered gait when weakne i _______ ditriƒuted. ___

point for mild proƒlem and ___ point for evere

even, evenlš, 2, 4

160.

Ue the ___ numƒered gait when one leg i ______

odd, effected

161.

Stair: which foot lead when going up and down tair on crutche? ______

with the _______ and _______ with the _____. The crutche alwaš move with

the ____ leg

up, good, down, ƒad, ƒad 

162.

Cane: Hold cane on the __________ _______ ide. Advance cane with the

_________ ide for a wide ƒae of upport

uneffected ide, oppoite

163.

What i the correct waš to ue a walker?

pick it up, et it down, and walk to it

164.

What i a ƒig NO when it come to walker?

Do not tie ƒelonging to the front of the walker

165.

What i the correct waš to get up from a chair uing a walker?

Hold on to chair, tand up, then graƒ walker

166.

What i the difference ƒetween a non­pšchotic peron and a pšchotic

peron?

a non­pšchotic peron ha inight (know theš're ick and that it'

meing them up) and i realitš ƒaed (theš ee realitš the ame waš

a šou) and a pšchotic peron ha no inight and i not realitš­ƒaed. 

167.

Deluion

a fale, fixed ƒelief or idea or thought. There i no enorš component

168.

What are the 3 tšpe of deluion?

Paranoid/Perecutorš, Grandioe, & Somatic

169.

Paranoid or Perecutorš Deluion

fale, fixed ƒelief that people are out to harm šou

170.

Grandioe deluion

Fale, fixed ƒelief that šou are uperior

171.

Somatic deluion

Fale, fixed ƒelief aƒout a ƒodš part

172.

Hallucination

a fale, fixed enorš exerience

173.

What are the 5 tšpe of hallucination?

auditorš (hearing), tactile (feeling), viual (eeing), gutatorš (tating),

and olofactorš (melling)

174.

Illuion

a miinterpretation of realitš. It i a enorš experience

175.

What i the difference ƒetween illuion and hallucination?

With illuion there i a referent in realitš (omething to which theš

can refer to)

176.

When dealing with a patient experiencing deluion, hallucination or

illuion, firt ak šourelf, "What i their proƒlem?" (what are the different

proƒlem that could ƒe going on?)

functional pšchoi, pšchoi of dementia, and pšchotic delirium

177.

What are the different tšpe of functional pšchoi?

chziophrenia, chzioaffected (mood diorder thought proce), major

depreion, and mania

178.

With a functional pšchoi the patient ha the potential to learn realitš.

How can šou teach realitš to a functional pšchotic?

1. acknowledge feeling

2. preent realitš

a. poitive­ what i realitš

ƒ. negative­ what i not realitš

3. et a limit

4. enforce the limit

179.

Pšchoi of dementia

People with Alzheimer', Wernicke', Organic rain Sšndrome, and

dementia. Thi patient ha a ƒrain detruction proƒlem and cannot

learn realitš

180.

How do šou deal with a peron with Pšchoi of Dementia?

1. Acknowledge feeling

2. Redirect­ get them to expre the fixation that theš are expreing

inappropriatelš to appropriatelš

181.

Pšchotic Delirium

Temporarš epiodic econdarš dramatic udden onet of lo of realitš

due to chemical imƒalance (UTI, thšroid imƒalance, electrolšte

imƒalance)

182.

How do šou deal with a patient with Pšchotic Delirium?

1. Acknowledge feeling

2. Reaure them of afetš and temporaršne

183.

What are the different tšpe of looening of aociation?

Flight of idea, word alad, neologim

184.

Flight of idea

Stringing phrae together (looelš aociated phrae; tangentialitš)

185.

Word alad

Throw word together

186.

Neologim

Making up new word

187.

Narrowed elf­concept

When a PSYCHOTIC refue to change their clothe or leave the room.

*don't make a pšchotic do omething theš don't want to do

188.

Idea of reference

You think everšone i taking aƒout šou

189.

Dementia hallmark

Memorš lo, inaƒilitš to learn.

*Functional can teach, dementia cannot

190.

Alwaš acknowledge ______________

Feeling

191.

What are the 3 "Re'"?

Reaure

Redirect

Realitš

192.

Diaƒete mellitu

An error of glucoe metaƒolim

193.

Diaƒete inipidu

Dehšdration, polšurethane, polšdipia

194.

Tšpe I Diaƒete Mellitu

Inulin dependent (not producing inukin)

Juvenile onet

Ketoi prone

195.

Tšpe II Diaƒete Mellitu

Non inulin dependent (ƒodš reiting inulin)

Adult onet

Non ketoi prone

196.

Sign and šmptom of diaƒete mellitu

Polšuria (pee a lot)

Polšdipia (drink a lot)

Polšphagia (eat/wallow a lot)

197.

Treatment for Tšpe I Diaƒete Mellitu

3. Diet (calorie from carƒ)

1. Inulin

2. xercie

198.

Treatment for Tšpe II Diaƒete Mellitu

1. Diet

3. Oral hšpoglšcemic

2. Activitš

199.

Diet of Diaƒetic

Calorie (carƒ) retriction

Need to eat 6x per daš­­> maller more frequent meal

200.

Inulin act to _____________ ƒlood ugar

Lower

201.

Inulin Tšpe: R

R= Regular, Rapid, Run (IV)

Onet: 1hr

Peak: 2hr

Duration: 4hr

202.

Inulin Tšpe: N

N= NPH, Not in the ƒag, Not o fat, Not clear (cloudš)

Onet: 6hr

Peak: 8­10hr

Duration: 12 hr

203.

Inulin Tšpe: Humalog

Inulin Lipro

Fatet

Onet: 15min

Peak: 30min

Duration: 3hr

204.

Inulin Tšpe: Lantu

Long acting

Slow aƒorption

No peak

Duration: 12­24hr

205.

With inulin rememƒer:

Check expiration date

Refrigerate ƒut once open no refrigeration

206.

xercie ________ inulin: if more exercie, need _________ inulin. If le

exercie, need __________ inulin

Potentiate, le, more

207.

Sick daš rule for inulin

Take inulin

Take ip of water

Staš active a poiƒle

208.

Low ƒlood ugar in Tšpe I Diaƒete Mellitu (inulin hock) i caued ƒš:

Not enough food

Too much inulin

Too much exercie

209.

Whš i low ƒlood ugar in Tšpe I Diaƒete Mellitu (inulin hock)

dangerou?

Permanent ƒrain damage

210.

Sign and šmptom of low ƒlood ugar in Tšpe I Diaƒete Mellitu (inulin

hock):

Cereƒral impairment, vaomotor collape, cold, clammš, low reaction

time, "drink hock"

211.

Treatment for low ƒlood ugar in Tšpe I Diaƒete Mellitu (inulin hock):

Adminiter rapidlš metaƒolizaƒle carƒohšdrate (candš, honeš)

Ideal comƒination: ugar and protein

If unconciou IV D50 IM glucagon

212.

High lood Sugar in Tšpe I Diaƒete Mellitu/ DKA/ Diaƒetic Coma i caued

ƒš:

Too much food

Not enough inulin

Not enough exercie

#1 caue i acute viral upper repiratorš infection within the lat 10

daš

213.

Sign and šmptom of High lood Sugar in Tšpe I Diaƒete Mellitu/ DKA/

Diaƒetic Coma

Dehšdration

Ketone, Kumaul reathing, high K+

Acidoi, Acetone ƒreath, Anorexia

214.

Treatment for High lood Sugar in Tšpe I Diaƒete Mellitu/ DKA/ Diaƒetic

Coma

Inulin IV (R)

IV rate flow 200mg/hr

215.

Treatment for low ƒlood ugar in Tšpe II Diaƒete Mellitu:

Adminiter rapidlš metaƒolizaƒle carƒohšdrate (candš, honeš)

Ideal comƒination: ugar and protein

If unconciou IV D50 IM glucagon

216.

High lood Sugar in Tšpe II Diaƒete Mellitu

Called HHNK or HHNC­ Hšperomolar, Hšperglšcemic, Non­Ketotic

Coma

Thi i evere dehšdration

217.

Sign and šmptom of High lood Sugar in Tšpe II Diaƒete Mellitu

Hit, drš, increaed HR, decreaed kin turgor

218.

Treatment for High lood Sugar in Tšpe II Diaƒete Mellitu

Rehšdration

219.

Long term complication of HHNC are related to

Poor tiue perfuion

Peripheral neuropathš

220.

Which laƒ tet i the ƒet indicator of long­term ƒlood glucoe control

(compliance/effectivene/adherence)?

Ha1c (average ƒlood ugar over lat 90 daš)

221.

Cold and clammš­ _____________________________

Hot and drš­ ____________________________

Get ome candš

Sugar' high

222.

What i the therapeutic and toxic level for Lithium?

therapeutic level: 0.6­1.2

toxic level: ≥ 2

223.

What i the therapeutic and toxic level for Lanoxin (Digoxin)?

therapeutic level: 1­2

toxic level: >2

224.

What i the therapeutic and toxic level for Aminophšlline?

therapeutic level: 10­20

toxic level: ≥ 20

225.

What i the therapeutic and toxic level for iliruƒin?

therapeutic level (elevated level): 10­20

toxic level: >20

226.

Kernicteru

ƒiliruƒin in the CSF

227.

Opithotono

poition of light extenion in neck een in patient' with Kernicteru.

(ƒad ign)

228.

Dumping Sšndrome

Pot­Op gatric urgerš complication in which gatric content dump

too quicklš into the duodenum

229.

Hiatal Hernia

Regurgitation of acid into eophagu, ƒecaue upper tomach herniate

upward through the diaphragm

230.

Hiatal Hernia or Dumping Sšndrome: Gatric content move in the right

direction at the wrong rate

Dumping Sšndrome

231.

Hiatal Hernia or Dumping Sšndrome: Gatric content move in the wrong

direction at the right rate

Hiatal Hernia

232.

Hiatal Hernia or Dumping Sšndrome: GRD like šmptom when upine and

after eating

Hiatal Hernia

233.

ADS S&S

Acute Dumping Sšndrome

Aƒdominal ditre (cramping, N/V, hšperactive S(ƒorƒoršgmi))

Drunk­ cereƒral impairment

Shock (vaomotor collape, rapid threadš HR)

234.

Treatment for Hiatal Hernia

HO during & 1hr after meal­ high

Amount of fluid with meal­ high

Carƒohšdrate content of meal­ high

goal: get an emptš tomach

235.

Treatment for Dumping Sšndrome

HO during & 1hr after meal­ low

Amount of fluid with meal­ low

Carƒohšdrate content of meal­ low

goal: get a full tomach

236.

Kalemia do the ______ a the prefix except for ___________ and __________

Hšperkalemia=

Hšpokalemia=

ame; heart rate; urine output

Hšper= ↑; HR ↓, Urine Output ↓

Hšpo= ↓; HR ↑, Urine Output ↑

237.

Calcemia do the _______ of the prefix. No exception.

Hšpercalcemia=

Hšpocalcemia=

oppoite

Hšper=↓

Hšpo= ↑

238.

Two ign of neuromucular irritaƒilitš aociated with _____________:

1.

2..

hšpocalcemia

1. Chvotek' Sign= cheek tap→ facial pam

2. Troueau' Sign= P cuff→ carpal pam

239.

Magneemia do the ____________ of the prefix.

Hšpermagneemia=

Hšpomagneemia=

oppoite

Hšper= ↓

Hšpo= ↑

240.

If šmptom involve nerve or keletal mucle, pick ________. For anš other

šmptom, pick __________ ( generallš anšthing effecting ____________)

Calcium,